Individual
BRENDAN TWIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
340 ROUTE 202, SOMERS, NY 10589-3237
(516) 428-7140
Mailing address
4 CAMEO CT, CARMEL, NY 10512-2231
(516) 428-7140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095499
NY
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-39110
MT
Other
Enumeration date
11/05/2019
Last updated
03/11/2024
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